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psnet.ahrq.gov/perspective/conversation-charles-vincent-mphil-phd
July 10, 2024 - Why were we not studying accidents in health care when we obviously were very concerned about them in … CV : The most important step was the formation of a health care regulator in 2003. … But, health care is different and requires a different kind of reporting. … One of the other differences between the US and the UK is the amount of money we spend on health care … and executives who control the money that you should do something simply because it would improve the care
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psnet.ahrq.gov/web-mm/speaking-patient-safety-what-they-dont-tell-you-training-about-feedback-and-burnout
January 22, 2020 - Review the drivers of speaking up in the health care environment. … In the vignette described above, we know that the patient care assistant did speak up. … Discrepant attitudes about teamwork among critical care nurses and physicians. … Crit Care Med. 2003;31:956-959. [go to PubMed]
5. Makary MA, Sexton JB. … Qual Saf Health Care. 2010;19:547-554. [go to PubMed]
8. Duhigg C.
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psnet.ahrq.gov/Information/Editor
measures, using outcomes data to improve the quality and effectiveness of health care, and studying … the role of physicians and nurses in optimizing quality and safety across the health care industry. … and families in choosing a nursing home, home health, or hospice care. … to provide culturally competent care by using her fluency in four languages. … settings to improve health care delivery and outcomes.
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psnet.ahrq.gov/perspective/conversation-dr-neal-sikka-and-dr-colton-hood-about-remote-patient-monitoring
March 15, 2023 - How has the technology changed as part of managing patient care? … We have done projects with patients who have memory care issues. … Colton Hood : Correctional care could also benefit from RPM. … Medical care can be challenging in that situation. … Does remote patient monitoring reduce acute care use? A systematic review.
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psnet.ahrq.gov/primer/simulation-training
September 15, 2024 - Background Clinical training for health care professionals has historically relied heavily on learning … Because of the potential risks to patient and staff safety in the clinical environment, special care … immersed in a highly realistic digital clinical environment, such as an operating room or intensive care … AACN Adv Crit Care . 2016;27(1):56-61. [ Free full text ] Sheen JJ, Goffman D. … Kirkpatrick's evaluation of simulation and debriefing in health care education: a systematic review.
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psnet.ahrq.gov/web-mm/strongyloides-hidden-traveler-and-potentially-lethal-missed-diagnosis
August 25, 2021 - ensure balance, independence and objectivity in all its CME activities to promote improvements in health care … Thus, all providers, including primary care physicians, oncologists, rheumatologists and pulmonologists … a large population of patients in iatrogenic danger. 7 All clinicians, especially those in primary care … Narath Carlile, MD, MPH
Department of Internal Medicine
Primary Care Research in Diagnostic Errors … of Internal Medicine
Associate Director, Center for Patient Safety Research and Practice
Primary Care
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psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
September 25, 2019 - Care for the patient began appropriately with radiographic imaging and an intraoperative consultation … or a clinical encounter or procedure is imminently scheduled, the physician managing the patient’s care … to pick up the phone and call.” 11 Active, timely communication among all members of the clinical care … Clarity in Patient Care Handoffs All pathology groups must have clear policies and procedures surrounding … surgical pathology service models offer many benefits but create specific cross-coverage and patient care
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psnet.ahrq.gov/node/33594/psn-pdf
November 18, 2021 - knowledge or skill attainment, or to
answer questions about threats to patient safety and patient care … The patient had been found on the floor by Environmental
Services (EVS) staff, in a non-patient care … unit supply storage area
EVS staff radioed
supervisor who called
operator to initiate code
Initial care … MD and code team
lead disagreed over
treatment plan
Passing staff jumped into
action to provide care … Learner-centered debriefing for health care simulation
education: lessons for faculty development.
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psnet.ahrq.gov/curated-library/value-and-patient-safety
October 30, 2019 - Failures in patient care are a global concern. … care... … Health care-associated infections continue to be one of the most common health care-related complications … care delivery. … Health care-associated infections continue to be one of the most common health care-related complications
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psnet.ahrq.gov/perspective/university-texas-system-clinical-safety-and-effectiveness-course
February 01, 2011 - Cottage industry to postindustrial care—the revolution in health care delivery. … Qual Saf Health Care. 2009;18:424-428. [go to PubMed]
4. … Unmet Needs: Teaching Physicians to Provide Safe Patient Care. … Int J Qual Health Care. 2009;21:225-232. … To apply knowledge of QI to care
2. Innovate and improve health care
3.
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psnet.ahrq.gov/node/840256/psn-pdf
November 16, 2022 - My focus has
been in primary care, the hospital, ICUs [intensive care units], ED [emergency department … and care
partner side. … from one
broad environment of care setting to another. … The people in the system are physicians, nurses, patients, and care partners. … We redesigned that care
transition with multiple stakeholders.
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psnet.ahrq.gov/web-mm/delirium-or-dementia
September 27, 2023 - Long-term outcome of critically ill elderly patients requiring intensive care. … hospital care. … One-year health care costs associated with delirium in the elderly population. … Provision of care, treatment, and services. Standards 11.10-100. … Units
Health Care Providers
Geriatrics
Mental Health Care (Psychiatry and Clinical Psychology
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psnet.ahrq.gov/primer/debriefing-clinical-learning
September 15, 2024 - for knowledge or skill attainment, or to answer questions about threats to patient safety and patient care … The patient had been found on the floor by Environmental Services (EVS) staff, in a non-patient care … Learner-centered debriefing for health care simulation education: lessons for faculty development. … April 24, 2018
Seroprevalence of SARS-CoV-2 among frontline health care personnel in … December 2, 2015
'Even now it makes me angry': health care students' professionalism
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psnet.ahrq.gov/web-mm/what-happened-telemetry
January 18, 2012 - A second risk is the potential for fragmented care. … Am J Crit Care. 2014;23:e9-e18. [go to PubMed]
4. Ruppel H, Funk M, Clark JT, et al. … Am J Crit Care. 2018;27:114-123. [go to PubMed]
5. … Crit Care Med. 2015;43:1036-1042. [go to PubMed]
7. … Dimens Crit Care Nurs. 2015;34:10-18. [go to PubMed]
10.
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psnet.ahrq.gov/perspective/conversation-jack-needleman-phd
September 01, 2012 - center, rather than a core service line of the hospital whose work is important for the quality of care … How the work is changed to make patients safer and deliver care more efficiently, both the processes … While often overlooked, the foundation of the health care delivery system is its workforce. … Students will acquire new skills in primary care, preventative care, transitional care, chronic care … Health Care Executives and Administrators
Policy Makers
Nurse Care
Fatigue and Sleep Deprivation
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psnet.ahrq.gov/web-mm/adolescent-diabetes-routine-visit
November 18, 2016 - Review some common errors in the care of adolescent patients and strategies to prevent them. … The sexual history is an essential component of adolescent health care. … Diabetes Care. 2000;23:381-389. [go to PubMed] 15.Pinhas-Hamiel O, Zeitler P. … Standards of medical care in diabetes—2009. Diabetes Care. 2009;32(suppl 1):S13-S61. … Providers
Primary Care
Endocrinology
Obstetrics
View More
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psnet.ahrq.gov/node/850673/psn-pdf
June 14, 2023 - beneficial partnerships—respect and dignity; information
sharing; participation in care, care planning … , and decision making; and collaboration at all levels of care, not
just in direct clinical care. … I helped with the transitions of care. … in place for a patient or a resident in
long-term care to define their family or care partner, and how … they want them involved in care.
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psnet.ahrq.gov/perspective/preparing-health-reform-federal-government-and-nursing-workforce
September 01, 2012 - While often overlooked, the foundation of the health care delivery system is its workforce. … government has long been involved with the nursing profession, the largest component of the health care … Students will acquire new skills in primary care, preventative care, transitional care, chronic care … in an inner-city primary care clinic. … Providers
Health Care Executives and Administrators
Educators
Nurse Care
Nurse Staffing
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psnet.ahrq.gov/perspective/what-makes-good-checklist
October 01, 2010 - Standardize these terms as much as possible across clinical units and sites of care. … The public doesn't really care whether we use a checklist or how we practice medicine. … The end game that the public cares about, and I think that doctors and nurses care about, is making care … But health care is our most inefficient knowledge market. … or when I provide care that there's an efficient knowledge market?
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psnet.ahrq.gov/perspective/safety-culture-ems
May 26, 2021 - into the framework of an organization has increasingly become the standard across many settings of care … This makes it difficult to integrate EMS care reports with patient medical records. 3 Not only does … There are organizations where I’ve had a patient fall in my care and the first thing I had to do was … You know, EMS is beginning to transform into a broader model of care: community paramedicine . … I think what that does is push a care plan if there are state protocols in place.